LISA MICHELLE KUSUMPA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008721

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MICHELLE

Last Name

KUSUMPA

Business Name

LISA MICHELLE KUSUMPA

Original Issue Date

01/02/2002

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008